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VN224 Unit 1 Exam Vista College, El Paso Texas

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VN224 Unit 1 Exam Vista College, El Paso Texas Question #: 22 When obtaining vital signs from a client who has reduced erythrocyte production and a hemoglobin level of 8.3 g/dL, what results would be indicative of these lab studies? A. A heart rate of 120 beats/min B. Respiratory rate of 16 breaths/min C. blood pressure of 140/90 mm Hg D. Oxygen saturation of 95% ____________________________________________________________________________ Question #: 23 A client is taking a medication that has the side effect of depressing the hematopoietic system. What signs of leukopenia should the nurse monitor for while the client is taking this drug? A. Fever, sore throat, and chills. B. Nausea and vomiting C. Diarrhea, diaphoresis, and fever D. Intolerance to heat and rash ____________________________________________________________________________ Question #: 24 A client is being treated for anemia and has a hemoglobin level of 9.6 g/dL. What does the nurse understand is the basic nutritional component of heme in hemoglobin that the client may be deficient in? A. Folic acid B. Copper C. Protein D. Iron ____________________________________________________________________________ Question #: 25 The nurse is discussing vitamin replacement with a client in the clinic. Which vitamin should the nurse discuss with the client in order to increase the absorption of folic acid and iron? A. Vitamin B12 B. Vitamin C C. Vitamin B6 D. Vitamin E ____________________________________________________________________________ Question #: 26 A client with end-stage renal disease has a decreased red blood cell production. What medication can the nurse administer with a physician's order that will increase the production of erythrocytes? A. Filgrastim B. Pegfilgrastim C. Epoetin alfa D. Interleukin 2 ____________________________________________________________________________ Question #: 27 Albumin is a protein in the plasma portion of the blood. Under normal conditions, albumin cannot pass through the wall of the capillary. What significance does this have for the vascular compartment? A. Helps push oxygen into the tissues of the body. B. Retains leukocytes in the vascular compartment. C. Helps retain fluid in the vascular compartment. D. Absorbs carbon dioxide from the tissues for transport to the lung

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Question #: 1

Following a femur fracture surgical repair, the client develops hemoptysis, wheezing, and cyanosis. The nurse
suspects a pulmonary embolus that originated from which site?


A. Deep veins of the legs
✓B. bone marrow
C. myocardial tissue
D. superior vena cava

____________________________________________________________________________

Question #: 2

The nurse is obtaining data from a client with a respiratory disorder. Which information would be considered a part
of the functional assessment and assist in the diagnosis of occupational lung disease?


A. Cough and dyspnea
✓B. Black-streaked sputum
C. Tenacious secretions
D. Barrel chest

____________________________________________________________________________

Question #: 3

Upon assessing a client with emphysema, the nurse notes increased difficulty with inspiration. What is the likely
cause of this finding?


A. Prolonged tobacco use
✓B. Rigid chest cage
C. Saccular dilation

, D. Inflammation of the bronchioles

____________________________________________________________________________

Question #: 4

The client has been self-medicating with antitussives. Which assessment finding would alert the nurse to an adverse
effect of this medication?


✓A. crackles in the bases
B. increased coughing
C. temperature 1010F
D. nausea and vomiting

____________________________________________________________________________

Question #: 5

A teenaged client with hemophilia sustains a leg laceration after falling off of his skateboard and is brought to the
emergency department. The laceration is bleeding profusely even with direct pressure to the site. What does the
nurse anticipate will be ordered for administration to control bleeding?


✓A. Fresh frozen plasma
B. A colloid solution such as hetastarch
C. a crystalloid solution such as lactated ringers
D. albumin

____________________________________________________________________________

Question #: 6

A client is suspected of having leukemia and is having a series of laboratory and diagnostic studies performed.
What does the nurse recognize as the hallmark signs of leukemia? (Select all that apply)


A. Diarrhea
B. Nausea and Vomiting
✓C. Frequent infections
✓D. Fatigue from anemia
✓E. Easy bruising

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